Extended Care Hospital Of Westminster

Inspection history (47)

• May 23, 2024 · D

  Citation F0700

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. The deficiency was recorded as corrected on 2024-06-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · D

  Citation F0727

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0727 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. The deficiency was recorded as corrected on 2024-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2024-06-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · D

  Citation F0770

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0770 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely, quality laboratory services/tests to meet the needs of residents. The deficiency was recorded as corrected on 2024-06-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · D

  Citation F0644

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2024-06-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2024-06-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-06-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · B

  Citation F0908

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0908 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Keep all essential equipment working safely. The deficiency was recorded as corrected on 2024-05-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · D

  Citation F0757

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0757 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2024-06-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · C

  Citation F0814

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0814 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2024-06-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · E

  Citation F0883

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0883 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2024-06-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · B

  Citation F0695

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0695 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-06-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · D

  Citation F0849

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0849 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. The deficiency was recorded as corrected on 2024-06-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• May 23, 2024 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV

• September 28, 2023 · B

  Citation F0550

  Federal surveyors cited this nursing home on 2023-09-28 under CMS tag F0550 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2023-10-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-28.GOV

• September 7, 2022 · D

  Citation F0921

  Federal surveyors cited this nursing home on 2022-09-07 under CMS tag F0921 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2022-10-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-07.GOV

• September 7, 2022 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2022-09-07 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2022-10-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-07.GOV

• September 7, 2022 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2022-09-07 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2022-10-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-07.GOV

• September 7, 2022 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2022-09-07 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2022-10-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-07.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.70 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Partnership

1. Parent organization: Mark & Fred Enterprises

   parent · PAC 0648433813